What can a runner with hallux rigidus when if not a good candidate for cheilectomy surgery?

Doc On The Run Podcast

Player FM - Internet Radio Done Right

22 subscribers

Ditambah seven tahun yang lalu

Kandungan disediakan oleh Dr. Christopher Segler. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Dr. Christopher Segler atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.

Action Academy | Replace The Job You Hate With A Life You Love

1
How To Replace A $100,000+ Salary Within 6 MONTHS Through Buying A Small Business w/ Alex Kamenca & Carley Mitus 57:50

52 weeks ago57:50

Main Kemudian

Senarai

Suka

Disukai

57:50

Alex (@alex_kamenca) and Carley (@carleymitus) are both members of our Action Academy Community that purchased TWO small businesses last thursday! Want To Quit Your Job In The Next 6-18 Months Through Buying Commercial Real Estate & Small Businesses? 👔🏝️ Schedule A Free 15 Minute Coaching Call With Our Team Here To Get "Unstuck" Want to know which investment strategy is best for you? Take our Free Asset-Selection Quiz Check Out Our Bestselling Book : From Passive To Passionate : How To Quit Your Job - Grow Your Wealth - And Turn Your Passions Into Profits Want A Free $100k+ Side Hustle Guide ? Follow Me As I Travel & Build: IG @brianluebben ActionAcademy.com…

about a year ago 4:56

M4A•Laman utama episod

Today's episode comes from a running injury from Jamie. He wanted to know about hallux rigidus.

He asked:

“Are there any non-surgical approaches to helping hallux rigidus when you are not a good candidate for a cheilectomy?”

What can a runner do when you have hallux rigidus but you're not a good candidate for cheilectomy surgery?

Well, that is what we're talking about today on the Doc On The Run Podcast.

999 episod

#Sports #Running #Medicine #Fitness #Dr. Christopher Segler #Second Opinion

Doc On The Run Podcast

What can a runner with hallux rigidus when if not a good candidate for cheilectomy surgery?

Doc On The Run Podcast

22 subscribers

published about a year ago

Kongsi

M4A•Laman utama episod

Today's episode comes from a running injury from Jamie. He wanted to know about hallux rigidus.

He asked:

“Are there any non-surgical approaches to helping hallux rigidus when you are not a good candidate for a cheilectomy?”

What can a runner do when you have hallux rigidus but you're not a good candidate for cheilectomy surgery?

Well, that is what we're talking about today on the Doc On The Run Podcast.

999 episod

#Sports #Running #Medicine #Fitness #Dr. Christopher Segler #Second Opinion

Semua episod

Doc On The Run Podcast

1
1003 Stress Fracture Strategy for Runners Start Here 16:05

12 days ago16:05

16:05

I just got off of a Stress Fracture Strategy call with a real runner who has been suffering from a stress fracture for 47 days. Over the past five weeks she has been getting worse, not better. And she hasn’t even been running for more than a month! If you have a stress fracture, or a stress reaction and you are: 1. worried about canceling race because of a stress fracture 2. your stress fracture is not getting better fast enough 3. worried you're going to lose your running fitness waiting for the stress fracture to heal This episode will help you understand the strategies I use whenever I worked directly with runners with stress fractures, and apply those strategies to help you figure out how to speed up your stress fracture recovery.…

Doc On The Run Podcast

1
Back to running after 2 metatarsal stress fractures at same time with Alexandre Dufresne 29:39

24 days ago29:39

29:39

Today on the Doc On The Run Podcast we are talking with Alexandre Dufresne about his journey and getting back to running after having suffered 2 metatarsal stress fractures at same time! If you think back about your training leading up to the 2 stress fractures, if you could go back in time, do you think there's any one thing you could have changed in your training routine that might have prevented it from developing into such a serious problem? Listen up to find out!…

Doc On The Run Podcast

1
1001 Ultra Run Coach Patrick Durante on Automatic Negative Thoughts in runners 1:09:36

5 weeks ago1:09:36

1:09:36

Today on the Doc On The Run Podcast we are talking with Patrick Durante about Automatic Negative Thoughts and how they affect runners. Many years ago I was having a discussion about daily stressors with a friend of mine name Maury. He said something I have never forgotten. “It's not the lions and tigers that will get you. It's the ants and mosquitoes because problems.” Every single over training injury that afflicts runners as a consequence of developing too much stress. The constant buzzing of mosquitoes and ants may drive you crazy. And Today we are talking about the creepy, crawly kind of ant, but A.N.T. or Automatic Negative Thoughts that buzz through our heads and inhibit our ability to finish races on time, complete training runs in a gratifying way, and may even may inhibit our recovery from hard workouts or over training injuries.…

Doc On The Run Podcast

1
Stress Fracture Nutrition for Recovering Runners with Dr. Laura Kelly 55:32

6 weeks ago55:32

55:32

If you're a runner with a stress fracture you're probably trying to figure out everything you can do right now this going to speed up healing of the injured bone, so you can get back to running as soon as possible. If you have been thinking about bone broth or nutritional supplements like vitamin D and calcium you already know how important it is to get the nutritional building blocks into your system so your osteoblast cells can't start repairing and rebuilding the crack in the bone. Did you know there's actually a cookbook written specifically to address the nutritional requirements four building healthy bones? Well, there is…it is called The Healthy Bones Plant-Based Nutrition Plan and Cookbook and in today’s episode I am getting to got to sit down with Dr. Laura Kelly who wrote that cookbook.…

Doc On The Run Podcast

1
Why jogging is a terrible way to test healing of a running injury 7:58

7 weeks ago7:58

7:58

No matter what injury you have, it could be a stress fracture or it could be tendinitis or it could be a sprained ligament, but whatever you do you have to sure you don't get re-injured, because that could be brutally demoralizing! Because most runners think jogging is a lot easier than “real running” you might presume it's a lot safer for you to just start jogging to test out your state of recovery. Today on the Doc On The Run Podcast, we’re talking about why jogging is a terrible way to test the state of healing of a running injury.…

Doc On The Run Podcast

1
Is it normal for a fracture to be visible on x-ray after 50 days? 6:56

8 weeks ago6:56

6:56

Hussein asked me an interesting question. He said, “I fractured my tibia and fibula. Is it normal after 50 days the fracture is still visible under x-ray, but I am walking with crutches and putting partial weight bearing without any pain or discomfort? My treatment was with a fiberglass cast without any surgery since the bones were not displaced.” Is it normal for a fracture to be visible on my x-ray after 50 days? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How do cushy running shoes cause stress fractures? 4:33

9 weeks ago4:33

4:33

If you have a high arched foot that is prone to getting stress fractures, a podiatrist may have told you that you need cushy running shoes. I got a question from someone who was given that advice. She said, “I am so confused, I thought stress fractures were from pounding. I got a stress fracture, and my doc said it was my cushy shoes. I do not understand how this is true.” How do cushy running shoes cause stress fractures in the foot? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Worst advice ever from a doctor 2:11

9 weeks ago2:11

2:11

I talk to lots of runners who have been given very bad advice. If you are reading this, you are probably a runner, and you have probably had to deal with some kind of injury that interfered with your running. If you have seen a doctor, I am very curious to know what advice you got. Sometimes I am curious if the "bad advice" is what the doctor said, or if it is just a misinterpretation of what the doctor said to the runner. Today on the Doc On The Run Podcast, we're talking about the worst advice ever from a doctor.…

Doc On The Run Podcast

1
Can 5% incline take stress off tibial stress fracture? 5:51

9 weeks ago5:51

5:51

Today's episode comes from Jordan, who was watching a video called “Proof you do not have to stop running with a metatarsal stress response”. Jordan wanted to know, “Do you think treadmill at a 5% incline will take some of the stress off the tibia?” Can a 5% incline on your treadmill reduce the stress on a tibial stress fracture? Well, that is a great question, and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Is pain and fear normal after 4th metatarsal stress fracture? 4:30

10 weeks ago4:30

4:30

Today's question comes from Priscilla, after she watched the video “Proof you do not have to stop running with a metatarsal stress response.” She says: “I am a distance runner, I got a fourth metatarsal stress fracture, I was in the boot 3 months. X-ray is showing some healing but not 100%. I have been walking but I fear it will open up again. Is pain and fear of putting full pressure without the boot normal? I want to run, it is frustrating.” Is pain and fear normal after a fourth metatarsal stress fracture? Well, that is a good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Did your doctor tell you stop running after a stress fracture? 3:12

10 weeks ago3:12

3:12

I have heard lots of different things that runners tell me their doctors said..., "You are not built like a runner." "You cannot run with your foot type." "Running just does not work for you. Decades ago, an orthopedic surgeon who did my reconstructive knee surgery said to me, "If you ever run, you will have to have a total knee replacement within 10 years." My knee is still good. And I have been running for decades. I did my first 50-mile trail race when I turned 50. I have done 15 Ironman triathlons. So clearly, my doctor's advice to stop running was wrong. Did your doctor ever tell you to stop running after a stress fracture? Well, I hope not, but if so, this episode might be for you because that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Does stress response equal RIP To VO2 Max? 4:17

10 weeks ago4:17

4:17

Today's episode comes from a question on the Doc On The Run YouTube channel regarding the video entitled “Proof you do not have to stop running with a metatarsal stress response.” Brian was clearly frustrated. He commented: “I wish… I have a big swollen reason under the second metatarsal. It tingles a bit while running. Slight burning. I have to alter my landing to not irritate it. I'm finished. Rest in peace to my running VO2 max. I got to focus on cycling.” Does a stress response equal "rest in peace" to my VO2 max? Well, that is a good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Convert your off-season routine to your overtraining recovery routine 4:23

11 weeks ago4:23

4:23

Just this morning I was on a coaching call with a runner who is recovering from a stress fracture. Almost every runner I talk to can immediately start exercising and start doing stuff to maintain their running fitness if they understand how severe the injury is, and they don't have to just take time off. It is heartbreaking to me truthfully when I talk to somebody who has been completely off of their foot and on crutches in a fracture walking boot and worse, not exercising at all for two weeks, four weeks, or six weeks before I ever talk to them. Today on the Doc On The Run Podcast, we're talking about why you should convert your off-season training program to your recovery program when you have a stress fracture.…

Doc On The Run Podcast

1
Sesamoid stress reaction healing time 5:48

11 weeks ago5:48

5:48

I got a question from an injured runner, and she wants to know about the amount of time it takes to heal a stress reaction in the sesamoid bone in your foot. She said: “I have had a stress reaction in my tibial sesamoid that led to a lot of pain and swelling. I am reading mixed reviews on healing time. I have been off it for three weeks now, either on crutches and taping the toe to immobilize it or in a walking boot with tape on the toe and sesamoid dancing pads to avoid pressure on the bone. I am a 38-year-old healthy female.” Today on the Doc On The Run Podcast, we're talking about sesamoid stress reactions and the expected healing time.…

Doc On The Run Podcast

1
Will 3 weeks of bed rest heal a stress fracture? 5:39

11 weeks ago5:39

5:39

Today's question comes from someone who watched the YouTube video on the Doc On The Run YouTube channel called “How long before I can run with a stress fracture.” The comment was: “Thank you so much for this video. I want to ask if resting for three weeks, complete bed rest and I can afford to do this because I am a student, and it is summer holiday then I can walk to my college to do daily normal tasks. I do not do any physical training or running and my college is about a kilometer away.” Will three weeks of bed rest heal a stress fracture? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Top 3 questions to ask your doctor when you are told to stop running because of a metatarsal stress fracture 6:25

12 weeks ago6:25

6:25

There is nothing worse than being told to stop running, especially when you have no idea how long you're not going to be able to run. You like your doctor. She is nice. She is smart and helpful. She seems to really care about your running, and even listens to you talk about your last run. But when she tells you, that you cannot run, there are three questions that you need to ask. Today on the Doc On The Run Podcast, we're talking about the top three questions to ask your doctor when she tells you, you have to stop running because you have a metatarsal stress fracture.…

Doc On The Run Podcast

1
2 real reasons doctors tell you not to run your race with a stress fracture 4:43

12 weeks ago4:43

4:43

When you get a stress fracture, the main thing you are trying to do is figure out how bad it is. How much does it hurt? How can you get it to heal as quickly as possible? Although inflammation is an important part of the healing process, it can be very disruptive to two parts of your process of getting back to running. What are the two worst things about inflammation when you have a stress fracture? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

18 weeks ago6:22

6:22

Doc On The Run Podcast

1
How long before I can run after a plantar plate sprain? 4:50

18 weeks ago4:50

4:50

One of the most common runners’ injuries I see for second opinion is a plantar plate sprain. A plantar plate sprain happens usually on the bottom of the second toe. It is a little bitty ligament that gets sprained or partially torn. Most of those runners with a plantar plate injury want to know how long is it going to take to get back to running. Recently a few runners told me they asked chat GPT, or some AI program to try to figure this out. So, I wanted to tell you what AI told me when I asked this question of "how long can I run after a plantar plate sprain." How long before I can start running after a plantar plate sprain? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Top 5 navicular stress fracture treatment mistakes in runners 6:17

18 weeks ago6:17

6:17

The navicular bone isn't a big bone, but is a critically important one. A fracture of the navicular is one of the most frightening things that I see in runners. If you get a navicular stress fracture, there are a few mistakes that I often notice. If you can recognize them, you may spend a lot less time in a fracture boot, or off running. What are the top five navicular stress fracture mistakes I see in runners? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How long before I can run with a 2nd metatarsal stress fracture? 5:12

19 weeks ago5:12

5:12

I get lots of questions from injured runners about stress fractures. As a consequence, one of the most common questions I get is, "How long before I can run if I get a second metatarsal stress fracture." So, in this case I decided to ask Dr. CHAT-GPT that question and see what happens! How long before I can run with a second metatarsal stress fracture? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
From plantar plate sprain and Achilles tendinitis to running UTMB Mont-Blanc 27:18

19 weeks ago27:18

27:18

Today on the Doc on the Run podcast, we're talking with Dr. Ralph Gonzalez about running UTMB Mont Blanc after recovering from a plantar plate sprain and Achilles tendinosis. Specifically, he's here to talk about his path from injury to crossing the finish line at UTMB and what inspired him to run the challenging race. From plantar plate sprain and Achilles tendinitis to running UTMB Mont-Blanc.…

Doc On The Run Podcast

1
When can I walk barefoot at home with a 2nd metatarsal stress fracture? 3:06

19 weeks ago3:06

3:06

I was talking with an injured runner who had a stress fracture in the second metatarsal bone. He was working hard to get it to heal faster. He had gone through the stress fracture course for runners, and he was doing great. He asked me a question: When can I walk at home barefoot with a second metatarsal stress fracture? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
4 times navicular fracture may need surgery 5:35

20 weeks ago5:35

5:35

I have recently had a rash of runners with navicular fractures. The navicular is a bone that is right on the top of your foot, in front of your ankle and it's also at the apex of your arch. Navicular fractures are scary because doctors often recommend surgery. There are four times when you might really need to have surgery for a navicular fracture and in this episode, we are going to talk about why. What are the four times a navicular fracture might need surgery? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Can an accessory navicular stress fracture cause flexor hallucis longus tendinitis in a runner? 4:08

20 weeks ago4:08

4:08

I was on a second opinion call with a runner. She developed a stress fracture in her accessory navicular bone. If that wasn’t enough, she then started having pain in her arch in the tendon that pulls on her big toe. That tendon is called the Flexor Hallucis Longus Tendon, or FHL Tendon. Can an accessory navicular stress fracture cause flexor hallucis longus tendinitis in a runner? Well, the short answer is yes, and I am going to explain how in today's episode of the Doc On The Run podcast.…

Doc On The Run Podcast

1
Can bone scan tell Jones stress fracture from Styloid stress reaction in a runner? 6:37

20 weeks ago6:37

6:37

Jones fracture is a scary injury if you are a runner. If you have been diagnosed with a Jones fracture and want to start running sooner, you must understand the severity. Can a bone scan help you tell the difference between a Jones fracture stress reaction and a styloid stress reaction in a runner? Well, good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Why should runners sleep in boot for 5th metatarsal stress fracture? 4:00

21 weeks ago4:00

4:00

If you get a stress fracture in the fifth metatarsal, there are a couple of reasons why you might want to sleep in a fracture walking boot. Your goal is to keep the total amount of stress applied to that stress fracture under your threshold for healing, throughout the entire 24-hour period. Why should I sleep in a boot for a fifth metatarsal stress fracture? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Bone Scan vs. X-ray for 2nd metatarsal c reaction in a runner 4:51

21 weeks ago4:51

4:51

If you get a metatarsal stress reaction or a metatarsal stress fracture your doctor may order medical imaging to figure out how bad it really is. Your doctor's goal is to really figure out if it is a stress reaction or is it a stress fracture. What is the difference when it comes to medical imaging using a bone scan versus an x-ray when you are looking for a second metatarsal stress fracture in a runner? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
First test run 2 weeks after injury, how long should I run? 5:12

21 weeks ago5:12

5:12

You have a couple of options when you get injured. One option is to wait so long that you know for a fact it has to be healed enough that it can withstand the forces of running. The other option is to move that timeline faster and make things happen a lot quicker. The only way to do that is by testing. One of the things you can test with is a test run. A runner asked me how long her first test run should be, if she had been two weeks since the injury actually had happened. Let us say you have been injured and you take a couple of weeks off. How long should your test run be? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Can thinking about healing make your running injury heal faster? 7:38

22 weeks ago7:38

7:38

Whenever you consciously give your brain direction, your subconscious brain will go to work to achieve it. Your subconscious mind is not just controlling things that you want to happen but it's controlling things that you don't want, too. If you focus on negativity, if you focus on your injury getting worse, you will probably get worse. So, the question is can you take this aspect of your brain and controlling your subconscious mind and use it to your advantage when you are trying to heal and get back to running? Can simply thinking about healing make your running injury heal faster? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Why Stress Reaction can take longer than Stress Fracture to heal in a runner 5:35

22 weeks ago5:35

5:35

Which do you think is worse, a stress fracture or a stress reaction? Well, since a fracture is a crack and a reaction is just inflamed and irritating, you probably think stress reaction. However, it's not true. Sometimes stress reactions take longer than stress fractures to heal in runners. Why can a stress reaction take longer than stress fractures to heal in a runner? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Cushioning shoes vs Stability shoes for a test run? 6:19

22 weeks ago6:19

6:19

I was just on a call with an injured runner who is about to go out for a test run. She is very excited because she is going to get either a yes or a no on deciding if the tissue in her foot that is been healing is strong enough to withstand a little bit of running at a medium pace for a short distance. This is an important test because if it hurts, obviously no running, right? You got to wait some more. But because you want to get a yes, you want to make sure that your chances of getting the yes are as high as possible. The way that you do that is you protect the foot as much as possible. So, the shoes you should use for your test run really do matter a lot. If you are going to go out and try a test run after you have been injured, what kind of shoes should you wear? Cushioning shoes or stability shoes? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
My FHL tendon sheath is inflamed should I inject it before my 100 mile trail race? 4:42

23 weeks ago4:42

4:42

What if you were ramping up for several years to run 100 miles, but then you got tendinitis? If you start getting pain because you have been doing lots of hill repeats, you could get irritation of the FHL tendon and specifically the tendon sheath that surrounds it where it bends around the back of the ankle. One of the treatment options is to inject it with corticosteroids. So, this runner called me and wanted to know whether or not it would be a good idea for her to inject the tendon sheath with cortisone before her trail race. If my FHL tendon is inflamed and irritated, should I inject the tendon sheath before my 100-mile trail race? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I use tape for extensor tenosynovitis? 6:47

23 weeks ago6:47

6:47

If you get pain on the top of your foot because you irritated the extensor tendons, they can be very painful. A runner asked me recently about using athletic tape to heal extensor tenosynovitis. Since it seems like athletic tape can help almost any type of musculoskeletal injury, you might be wondering, could taping help the tendons or the tendon sheath on the top of your foot when it gets aggravated. Should I use tape if I have extensor tenosynovitis? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
If I only had 30 days to return to running after injury 8:00

23 weeks ago8:00

8:00

Yesterday I was at the Twin Cities Foot and Ankle Conference in St. Paul, Minnesota. The reason I was there is I was invited by the Minnesota Podiatric Medical Association to come and give a one-hour lecture, about "What's New in Sports Medicine." It may not surprise you that most of what I was talking about was how to help injured runners get back to training, full activity, after overtraining injuries, as quickly as possible. After my talk, another doctor out in the hallway approached me, and she asked an interesting question. What she asked was... “If you yourself had an overtraining injury, whether it was a stress fracture, a plantar plate sprain, a tear of the plantar fascia, a split in the peroneal tendon, no matter what the injury was, if you yourself were given a deadline of 30 days to healing that thing enough, you could actually run outside without worrying about re-injuring that piece of tissue, what exactly would you do?” If I had only 30 days to return to full running after an over training injury, what would I do? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
What can a runner with hallux rigidus when if not a good candidate for cheilectomy surgery? 4:56

24 weeks ago4:56

4:56

Today's episode comes from a running injury from Jamie. He wanted to know about hallux rigidus. He asked: “Are there any non-surgical approaches to helping hallux rigidus when you are not a good candidate for a cheilectomy?” What can a runner do when you have hallux rigidus but you're not a good candidate for cheilectomy surgery? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Can a percutaneous tenotomy for mallet toe cause plantar plate injury in a runner? 3:38

24 weeks ago3:38

3:38

I often get some questions from listeners I would never imagine. I just got one of those questions from a runner who has a mallet toe. Her doctor suggested surgery. The runner was worried because she been researching hammer toes and mallet toes. During that search she learned a lot about the plantar plate ligament as it relates to crooked toes. She was worried that if she had the surgery, it might cause a plantar plate injury. Can a percutaneous tenotomy surgery cause a plantar plate injury? Well, good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Does a runner always have to finish the standard 5-6weeks of crutches? 3:21

24 weeks ago3:21

3:21

Today's episode comes from a question posted on one of the YouTube videos, specifically on an episode called, “Should I get an MRI to see if I can run now?” Haitham wanted to know: “Would you say it is okay to walk if you are pain-free after being non-weight-bearing for two weeks? Does one always have to finish the standard five to six weeks of crutches?” Does a runner always have to finish the standard five or six weeks on crutches? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I work out today if I did not sleep well last night? 3:32

25 weeks ago3:32

3:32

I was on a call this morning with a former professional Ironman triathlete. This guy is the real deal. He is not lazy. He is not unmotivated. He is not unathletic. He is a top tier kind of athletic guy, and he is very, very aware of his body. He is also very adept at the process of damaging tissue we call "training" and the need for healing those tissues to make his body stronger. What he also understands is that the process of healing a ligament sprain (or "injury") is the same thing. During our call this morning, he pointed out that he barely slept last night. Since his plan was to ride on the trainer today, we were talking about the risk to the sesamoids. He used a term I had not heard before, calling it "multifaceted negatives." Should I work out today if I did not sleep well last night? Well, that is a good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I just wait 4 weeks with a fibular stress fracture? 4:03

25 weeks ago4:03

4:03

I got a question from a runner with a fibular stress fracture. She said her primary care doctor got r x-rays of the fibula bone. The doctor could not tell from the x-rays if the spot on my fibula that looks odd might be an old stress fracture or a new stress fracture in the fibula bone. The recommendation from the primary care physician was basically to just wait for four weeks, let it heal, let it calm down. She asked: “Is my primary care doctor's advice wrong?" Should I just wait for weeks to let my fibular stress fracture heal? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How does taping help tibial sesamoid stress fracture in a runner? 4:13

25 weeks ago4:13

4:13

I was on a call with a patient who was a professional Ironman triathlete. He had a tibial sesamoid stress fracture. The sesamoid bones are little bones underneath your big toe joint. They are kind of like tiny little kneecaps that you stand on. And when you are trying to heal one, AND maintain your fitness, it can be a real challenge. But a couple of little tricks can help. How does taping a tibial sesamoid stress fracture actually help you heal when you are an injured runner? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
The doctor’s job is not to tell you stop running 3:30

26 weeks ago3:30

3:30

I was just lecturing at the International Foot and Ankle Foundation meeting in Hawaii. In the very first talk, I asked one of the doctors sitting on the front row, "What is your most important question about this patient?” And he answered, “How did it start?” I replied, “You do not care about how it started, you do not even care about the injury, you should care more about the runner's goals.” You probably go to the doctor because your foot hurts, and you want your doctor to fix your foot. If you go there with that approach, that is exactly what you're going to get. Any doctor can fix your foot, but you need the doctor to focus on your running goals instead. What is the doctor's job when you have a running injury? Well, I can tell you what it is not. It is not to tell you to stop running. That is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Can a doctor do hammertoe surgery on a runner with only a needle 5:38

26 weeks ago5:38

5:38

Today's episode comes from a runner who asked me a very interesting question during a surgical second opinion webcam call. She seemed to be really confused because the doctor had recommended performing hammertoe surgery in the doctor's office, and not an operating room. She thought that was weird. She was also confused because the surgery would be performed using only a needle and not a scalpel. Can a doctor really do a hammer toe surgery using nothing but a needle? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Timelines force decisions and action in injured runners 4:43

26 weeks ago4:43

4:43

Last week, I was in Hawaii lecturing at the International Foot & Ankle Foundation Medical Conference. meeting. I had been invited to give several lectures on running injuries. One of those was about stress fractures for physicians, podiatrists, foot and ankle surgeons. One of the objectives was to help them understand how they can look at stress induced injuries differently, with the intent of teaching the doctors that they really have to consider these timelines. Timelines, forced decisions and action in injured runners, and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Does a mallet toe lead to plantar plate sprain in a runner? 4:21

27 weeks ago4:21

4:21

Plantar plate injuries in runners are a common topic at medical conferences because they cause a lot of pain in the ball of the foot. I just spoke to a runner who had an interesting question about plantar plate injuries, which was a question I never would have imagined. She wanted to know whether or not a "mallet toe" might lead to a plantar plate sprain. She didn't really understand the difference between a "mallet toe" and a "hammer toe." But she did understand that one or both are in some way related to plantar plate injuries. Does a mallet toe lead to a plantar plate sprain in runners? Well, that is a good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
When is it okay to take NSAIDs with a running injury 3:23

27 weeks ago3:23

3:23

Today I was on the call with an injured runner who is trying to figure out how soon she can start running. She had been having pain and she was getting relief by taking over-the-counter medication. She asked me whether not that was good or bad. Whenever we have pain, we can simply take a pill, and the pain will go away. Non-steroidal anti-inflammatory drugs or NSAIDs are powerful readily available painkillers. I do not just get rid of inflammation they also control or reduce pain. So, when is it okay or not okay to reduce your pain with NSAIDs if you are in the process of recovering from a running over training injury? That is a great question and that is what we’re talking about today on the Doc On The Run podcast!…

Doc On The Run Podcast

1
Can cryotherapy fix my accessory navicular 4:22

27 weeks ago4:22

4:22

Today I was doing a consultation with a runner who has a thing called an "accessory navicular." She thought that the bump was much more swollen than normal. She had basically rolled her ankle and banged that bone into a rock and then she was having some swelling there over the arch. She did a form of cryotherapy called the contrast bath routine to reduce the inflammation. It suddenly got much smaller. Like the bone shrank. How can that happen? If I have an accessory navicular bone in my foot and I do the contrast bath routine, will that fix it? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Toenail fungus oral medication liver testing options for runners 5:25

28 weeks ago5:25

5:25

Okay...I'm just gonna say it...lots of runners get funky toenails. Runners get bruised toenails, black toenails. But the worst thing is when the nail lifts up off the nail bed and you get fungal filaments that cause athlete's foot underneath the toenail. Then you get toenail fungus or onychomycosis. If your doctor recommends oral antifungal medications, you may get worried about the side-effects of the medication. Just today I saw a runner with toenail fungus. He wants it gone! So I was talking to his primary care doctor about the potential of modifying the normal routine for oral medication for him so that he could reduce his concern for having liver problems as a consequence of taking this medication. Today on the Doc on the Run podcast, we're talking about a couple of options you have if you are thinking about taking oral medications for toenail fungus.…

Doc On The Run Podcast

1
What is intermetatarsal bursitis in the runner's foot? 5:14

28 weeks ago5:14

5:14

If you start getting pain in the ball of the foot, especially in the area between the metatarsals, it might be caused by a little fluid-filled sack (called a bursa) that sits between the metatarsals. Sometimes you get swelling of that little bursa, and it causes pain in the forefoot. This problem could be misdiagnosed or thought to be caused by a neuroma, an inflamed nerve that runs in that same area. What is intermetatarsal bursitis in the runner's foot? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Is there any research on running cadence and impact forces? 4:46

28 weeks ago4:46

4:46

I have recently gotten a bunch of questions on one of the episodes I did where I mentioned somebody who had a stress fracture, and I had suggested that she should increase her cadence to try to decrease some of the impact forces through that particular bone when she was running and getting back to training now that she is really started to recover in a meaningful way. Specifically, what we are talking about here is your cadence. However, I think that since I have gotten so many questions about it, if you are interested in the idea of cadence and impact forces, this might be useful for you to get some clarification. Is there any research on running cadence as it relates to impact forces in the foot? Well, great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How can I tell if plate and screws on my calcaneal fracture broke? 6:40

29 weeks ago6:40

6:40

This episode comes from one of the YouTube viewers on the Doc On The Run YouTube channel and he posted a question as a comment on one of the videos, and he wanted to know, how can I tell if I broke the plate and screws on my calcaneal fracture. But number one, my number one question here is, what is it that this guy could have done that would have made him think that he applied enough force to the broken heel bone that he then could have broken the plate after the surgery? How can I tell if the plate and screws on my calcaneal fracture broke? Well, great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
I dropped a piano on my foot. Will I run again? 5:55

29 weeks ago5:55

5:55

Today's episode actually comes from a comment posted on one of the Doc On The Run YouTube videos. The viewer asked, and he said exactly, “I dropped a piano on my foot. Will I run again?” Well, that depends. If you drop a piano on your foot, maybe it would break your pinky toe. Maybe it would completely crush your foot. I dropped a piano on my foot. Will I run again? That is s a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Treadmill vs Running outside after injury 4:04

29 weeks ago4:04

4:04

A runner who has been recovering from a plantar plate sprain was on a webcam call just to follow up and ask me some questions about her first runs now that she is returning to running. She wanted to know whether or not she should be running on a treadmill or running outside if there was any advantage or disadvantage to either. Which is better when you are returning to running after an injury, running on a treadmill or just running outside? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Jones fracture in a runner. Is surgery better? 9:07

30 weeks ago9:07

9:07

This episode is a really good example of the confusion that comes from Jones fractures, and this was hosted as a comment on the Doc On The Run YouTube channel on a video that was entitled, “What is a displaced versus a non-displaced fracture?” The viewer who posted the comment said, “My daughter's a D1 athlete in soccer. She fractured her foot on September 1st, so that would have been just over a couple of weeks ago. It was a non-displaced Jones fracture. What does that mean?“ “She's gotten three opinions so far. The first one was surgery that was advised by the school surgeon. The second was conservative therapy, meaning non-surgical treatment by an external surgeon and they also saw a foot doctor.” When a runner has a Jones fracture, is it better to have surgery to fix the broken bone? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Method for modifying cadence after injury 5:02

30 weeks ago5:02

5:02

I was recently on a follow-up call with a runner who is recovering from a calcaneal stress fracture. She was doing really well, the stress fracture was healing, and her heel pain had completely resolved. So it was time to start ramping up her running. Since she wanted strategies to decrease stress on the stress fracture, we talked about increasing her running cadence. She asked me specifically about the difference between pace and cadence, as she wanted to be absolutely clear on what they were. What is a method you can use to alter your cadence when you have been recovering from a running injury? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I take NSAIDs when I have a 4th metatarsal stress reaction? 6:00

30 weeks ago6:00

6:00

If you get a metatarsal stress reaction, you might be confused for a number of reasons. First You are probably trying to figure out whether or not it is really just a subtle stress fracture or, if it is something more ominous? Second, you are also probably trying to figure out how to make the pain go away as fast as possible so you can get back to running. Last night I was talking to a physician who referred a runner who had a fourth metatarsal stress reaction. She wanted to know if it really was a good idea or a bad idea for her to take something like ibuprofen or some other non-steroidal anti-inflammatory drug which we call NSAIDs. Should I take NSAIDs when I have a fourth metatarsal stress reaction? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Tibialis Anterior Tendon Transfer for Chronic 5th Metatarsal Stress Fracture 7:35

31 weeks ago7:35

7:35

I just got a really obscure question from a runner suffering from chronic stress fractures. She was asking about a surgical procedure called a tibialis anterior tendon lengthening in order to address a situation where she had the same kind of 5th metatarsal stress fracture, again. Today on the Doc on the Run podcast, we're talking about tibialis anterior tendon lengthening for chronic fifth metatarsal stress fractures.…

Doc On The Run Podcast

1
What size compression socks should I get after a bad ankle sprain? 4:55

31 weeks ago4:55

4:55

If you sprain your ankle, you know that you need to protect it. The old treatment algorithm used to be R.I.C.E.: rest, ice, compression and elevation. The newer protocol is P.R.I.C.E.: protection, rest, ice, compression and elevation. Compression is one of the main things you need to do when you get an ankle sprain. When you sprain the ankle, it swells a lot and it's not going to get better, and you are not going to get back to running until sometime after that swelling goes away. The point of this episode is that when your ankle is swollen, it is a different size from your non-swollen ankle. What size compression socks should I get after a bad ankle sprain? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Sesamoidectomy vs 1st Metatarsal Osteotomy for big toe joint pain 5:33

31 weeks ago5:33

5:33

Sometimes runners have to do a whole lot of digging trying to figure out the difference between a couple of different surgical solutions for a recurring injury. Pain under the big toe joint can be because you are getting a stress reaction or a stress fracture in one of the two little sesamoid bones. It is pressure to that bone that is causing all the trouble. How can a doctor surgically reduce that pressure? What is the difference between a sesamoidectomy and a first metatarsal osteotomy for pain under the big toe joint? Well, if you are wondering, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
What is Metatarsal Stress Fracture Displacement? 4:13

32 weeks ago4:13

4:13

I got a call from a worried runner who had a stress fracture. The fracture was not healing so he called for a second opinion. One of the things that he did not understand was this x-ray report that he got. The x-ray report and it said that he had "two millimeters of displacement of the fractured metatarsal bone without angulation." So, in this episode, I am going to try to explain to you (the same way I explained to him) what "fracture displacement" really means and how it shows up on the x-ray in a runner. What is metatarsal stress fracture displacement on an x-ray? Well, that is a great question, and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Icing or NSAID’s better for an inflamed plantar plate in a runner? 5:09

32 weeks ago5:09

5:09

The plantar plate ligament that gets injured in runners is typically located on the bottom of the foot, at the base of the second toe. It gets inflamed, it gets irritated, it may feel weird at first. The plantar plate may not even feel sprained, or sore, or injured. It might just feel like this weird sort of fullness sensation. I got a question from a runner who had those same strange symptoms. He was trying to figure out what treatment would best address the "fullness" sensation in and around the plantar plate. Which is better for an inflamed plantar plate in a runner who wants to run? Icing, cryotherapy, NSAIDs, which one is going to help the most? Well, great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
What is Metatarsal Stress Fracture Troughing? 3:53

32 weeks ago3:53

3:53

I got a call from a runner who had a stress fracture that was not healing, who needed a second opinion. When we were on the webcam call, one of the things that he did not understand was the specific medical terms on his MRI report. The MRI report said that he had "troughing" of the fractured metatarsal bone. I just thought that it might be helpful to explain to you what metatarsal troughing really means and how it shows up on an MRI. Today on the Doc On The Run podcast, we’re talking about what is metatarsal stress fracture troughing.…

Doc On The Run Podcast

1
Does swimming help your running fitness improve after injury? 3:53

33 weeks ago3:53

3:53

I was on a call with an active athlete who is recovering from a couple of different injuries and her main goal is to get back to running at high intensity. But while she has been injured and she cannot really run, what she has been doing is cycling, swimming, and doing a number of different strength training workouts to supplement her running fitness. She asked me an interesting question and she wanted to know whether or not swimming was really helpful in terms of her cardiovascular fitness more than just her specific running related strength. Does swimming really help your running fitness improve after an injury? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Why running is better than lunges or planks when you have a plantar plate sprain 3:56

33 weeks ago3:56

3:56

When you have a plantar plate injury, it can be frustrating. The whole problem stems from a tiny little ligament right at the base of the second toe that is getting irritated, stretched, and strained. If its really bad, you might even have some tiny little tears in the plantar plate ligament. I was just talking to a runner who asked me about other exercises. Because, she had been told... "stop running, do other exercises to get stronger." So, she signed up for a boot camp training class. Although she wasn't running, shewas doing lots of exercises that were potentially harmful to the plantar plate and slowing her recovery, and eventual rturn to pain-free running. So, which is better for a healing sprained plantar plate, running more or doing exercises that make you stronger like planks, push-ups, and burpees? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
What is shortening of a metatarsal stress fracture on a CT scan? 5:22

33 weeks ago5:22

5:22

I get lots of calls from runners who need a second opinion for running injuries like metatarsal stress fractures. Many times they are confused by medical terminology in their imaging reports. In this particular case, the runner wanted to know what it meant when her radiology report said that there was "5 millimeters of shortening of the second metatarsal bone," the bone that had the stress fracture. In this episode, I am going to explain what fracture "shortening" really means and how it shows up on a CT scan. What exactly is shortening of a fracture when it shows up on a CT scan? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Is time or intensity more important after running injury? 4:34

34 weeks ago4:34

4:34

I was just on a call with a trail runner who is recovering from both a sesamoid bone injury as well as a peroneal tendon injury. Right now she is focusing on working toward running on long technical trail runs in the mountains. To that end she is doing a lot of different forms of activity to supplement her running fitness. During our call, she asked a great question... "Should I be adding a lot more time or a lot more intensity to rebuild her running fitness." Which is more important to increase first, after you have had a running injury, time or intensity? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
When does plantar plate tear cause crossover hammertoe? 3:53

34 weeks ago3:53

3:53

If you are a runner and you got diagnosed with a plantar plate sprain, you probably already figured that out plantar plate sprains can be frustrating. The plantar plate ligament is on the bottom of the foot, at the base of the second toe and it helps hold the toe down against the ground. What is crossover toe deformity? Well, if you look at the foot from the top, typically crossover toe deformity means the big toe tilts this way and the second toe forms a hammer toe and tilts that way and goes over the big toe. When you have the second toe over the big toe, it causes lots of problems. Today on the Doc on the Run podcast, we're talking about when a plantar plate tear can cause or contribute to the development of a thing called crossover toe deformity.…

Doc On The Run Podcast

1
After injury recovery, do I need to hire a running coach? 3:04

34 weeks ago3:04

3:04

Today's episode comes from a question that I got during a second opinion webcam call with a recovering runner. She is running, she is doing fantastic, and she wanted to know if she should hire a running coach. By the way, this is a very experienced, very fast marathon runner. After injury recovery, do I need to hire a running coach? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Does a full or partial plantar fascia rupture increase risk for re-tear? 4:52

35 weeks ago4:52

4:52

Today's episode comes from a question posted in the comments section of one of the Doc On The Run YouTube channel videos. Specifically, it came after a viewer watched the video entitled Top Three Clues of a Plantar Fascia Rupture and Davis posted a question. He wanted to know, does a full or partial plantar fascia rupture greatly increase your risk for a re-tear. Does a full or partial plantar fascia rupture increase your risk of a plantar fascia tear later? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I do proprioception retraining on both ankles or just the injured ankle? 5:28

35 weeks ago5:28

5:28

I was just on a follow-up webcam call with a runner who has chronic ankle instability but wants to get back to running on trails. She is trying to decide when it is safe for her to make the transition from running on a smooth, flat surface like asphalt to running on uneven technical trails. Since she had a long time off of running for a long time and she does not want to get re-injured. She asked me a great question on a recent call. “Should I be doing this proprioceptive retraining on both ankles or just the injured ankle?” Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How does chronic hyperextension lead to plantar plate injury? 3:30

35 weeks ago3:30

3:30

If you are a runner, and you have pain in the ball of the foot, and you have been diagnosed with a plantar plate sprain, you probably already realize you are in for a lot of trouble. It is very difficult to get the plantar plate ligament to heal while you are still running. If you caused a plantar plate injury by hyperextending the toe, then obviously, you need to stop hyperextending the plantar plate by stretching it and pulling on it. At least, if you want to get back to running faster. Today on the Doc on the Run podcast, we're talking about how hyper extension can lead to a plantar plate injury.…

Doc On The Run Podcast

1
The 2 most important days to skip running to prevent an overtraining injury 3:07

35 weeks ago3:07

3:07

What if I told you that you could skip two days and avoid an overtraining injury altogether? Well, if you are injured, you would probably go back and skip any two days I picked on your calendar, right? Overtraining injuries are preventable. You do not get overtraining injuries because you ran too much. You get overtraining injuries because you did not recover enough before the workout that you were not actually strong enough to withstand. What are the two most important days you should skip to avoid an overtraining injury? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Is this painful bump a fibular stress fracture or stress reaction? 5:28

36 weeks ago5:28

5:28

Today's episode comes from a question that was posted as a comment on one of the videos on the Doc On The Run YouTube channel about the difference between a stress reaction and stress fracture in the fibula in runners. He said: “Hey, I really appreciate the video, I go to the gym a lot and I was doing the treadmill at maximum speed and one day my fibula started hurting a lot after the gym in the lower leg on the outside and I found out it was my fibula. I took a day of rest and went back to the gym, and I was running on the treadmill even when my leg was hurting.” What is this painful bump that might be a fibular stress fracture? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Is time or range more important with gluteus medius activation exercise? 4:16

36 weeks ago4:16

4:16

I was just on a follow-up call with a trail runner who has chronic ankle instability. She had some follow-up questions about some of the exercises I gave her to do. Gluteus medius weakness is known to contribute to ankle instability. One of the exercises I gave her will strengthen the gluteus medius muscle. She asked a very specific question about fixing injury when you have identified a weakness, and you are trying to get back to running. Which is more important, time or range of movement when you are doing the gluteus medius activation exercises and you have ankle instability? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How big is the plantar plate ligament? 4:14

37 weeks ago4:14

4:14

I was just on a webcam call with a runner who had a plantar plate injury. We were reviewing her MRI. And one of the first things I did was check to see how big the slices were on the MRI. That's because there can be a wide variation on how tight those cuts are when the MRI imaging machine is taking those pictures. Believe it or not, there's research that shows how big the plantar plate ligament usually is. How big is the plantar plate ligament? Well, great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How should I ramp up my mileage after injury? 3:44

37 weeks ago3:44

3:44

I have a great question from a runner who was injured and is now recovering. She is getting better, she is back to running, she is advancing her mileage, she is increasing her strength, and her stability. And she asked me during a call whether or not she should follow some specific formula to get back to running. She asked me about the "10% rule." How should I ramp up my mileage after I have been injured but I am returning to running? Should it be by percentage? Should it be by miles? What is it? Well, good question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I do proprioceptive retraining exercises before or after I run? 4:51

37 weeks ago4:51

4:51

Last night I was on a follow-up call with a trail runner who had chronic ankle instability. She was working hard to get strong enough to run on trails without worrying about rolling her ankle. One of the things that she was working on was proprioceptive retraining. "Proprioception" just means your ability to tell position and space. She called me about a week later and she asked: “Should I do proprioceptive retraining exercises for my ankle before or after I run?” Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How does chronic synovitis lead to plantar plate injury? 3:45

38 weeks ago3:45

3:45

I was recently on a second opinion web cam call with a runner who had a plantar plate injury. One of the things we were talking about as was managing the inflammation in the joint next to the sprained plantar plate ligament. The plantar plate ligament is basically a thickened plate of collagen that helps hold the toe down against the ground and reinforces the bottom of that joint capsule. Inflammation in the joint which doctors call "synovitis" can damage the plantar plate. The chronic inflammatory fluid surrounding the plantar plate ligament is going to slowly degrade the collagen in the plantar plate ligament and make it more prone to stretching out, or worse, getting little plantar plate ruptures. How does chronic synovitis lead to plantar plate injury? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Does a stress fracture always hurt when walking? 5:03

38 weeks ago5:03

5:03

I just got off a second opinion consultation call with a runner who called because he thought he had a stress fracture, and he asked a great question... He said, “Well, I don't get it. It hurts every time I run, but it doesn't hurt when I walk. So, that means I don't really have a stress fracture, right?” Does a stress fracture always hurt when walking? Well, that is a great question, and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
#1 most worrisome problem with toenail lost to running 5:12

38 weeks ago5:12

5:12

Have you ever had a toenail turn black and blue, and maybe even got so much of a bruise that the toenail fell off? A lot of runners think of bruised toenails as a badge of honor for doing super long runs and completing marathons. But you do not want toenails to fall off! Believe it or not, I have had runners ask me if I would permanently remove their toenails so that they would no longer get black toenails. But I do not recommend it. What is the number one most worrisome problem when you lose a toenail from running? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Should I get an MRI to tell me if I can run now? 5:19

39 weeks ago5:19

5:19

One of the questions I often get from runners is whether or not they can get a clear indication that the overtraining injury has healed enough that they can start running. This is most common with stress fractures and plantar plate injuries, and things like Achilles tendonitis. All of these injuries, regardless of which specific one it is, whether it is a tendon, a ligament, or a bone, you want to know if you can start running and if it is healed. And it makes sense that you would want to get an MRI. Should I get an MRI to tell me if it is okay to run now? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
What are the 3 types of bone edema on MRI in a runner with stress fracture 5:01

39 weeks ago5:01

5:01

I was just on a call with an injured runner who had what she thought was a stress fracture. We were talking about the way bone stress injury shows up on an MRI. We all would like to believe MRI creates a perfect picture. It is true that there is a tremendous amount of images and information that you can get from an MRI, but you have to understand that most of the imaging of bone on MRI is not really looking for a crack. It's looking for trouble in the form of inflammation or edema within the bone. So, I thought it might be useful to talk about the three types of inflammation or edema that you can see in a bone on an MRI. What are the three types of bone edema on MRI in a runner with a stress fracture? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Always closely compare right foot vs left foot with a running injury 4:43

39 weeks ago4:43

4:43

Just this morning, I was on a second opinion call with a runner who had an issue. He said, “It is only going to take a few minutes. I would not even use the entire time because I have a simple problem.” Every time I do a consultation, I try to see if I can compare the right foot versus the left foot. I wanted to see both of his feet and he just showed me the one that was hurting. I told him I needed to see the other one and he said it did not hurt and it did not matter, but it does matter. It is super important. Why should you always compare the right foot to the left foot when you have a running injury? Well, that is a great question and that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Doctor’s job vs. Runners job in healing overtraining injury 5:00

40 weeks ago5:00

5:00

Every time a runner calls me who signs up for a consultation and they want a second opinion, they have already seen a doctor and they are often very frustrated. They are very frustrated because they were in a boot for a long time and it did not help, or they were told to not run for months, and it did not help. I hate to tell you this but almost every time I talk to one of these runners who is justifiably truly upset because the doctor did not listen to them about their goal. But the problem is that every one of these runners I talk to, there is something that they did not do that they could have done to make this go faster and a lot of that comes down to communication between you and the doctor and it is critical that you understand this. What is the difference between the doctor's job and the runner's job when you have an overtraining injury? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
3 ways stress fracture in a runner turns into non-union 5:30

40 weeks ago5:30

5:30

One of the most common injuries I see in runners is a stress fracture. All overtraining injuries in runners are stress induced injuries and a stress fracture of course implies too much stress applied to the bone. A stress fracture is not a problem that you get not because you ran too much, not because you ran too far, or too soon. Stress fractures only result when your training exceeds the bone's threshold to recover before your next workout. If you keep doing that, it could get much worse. What are the three ways a stress fracture can turn into a non-union in a runner? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Can I massage the foot with plantar plate sprain 6:44

40 weeks ago6:44

6:44

Anything the runners does to heal faster will get the runner back to running faster. Even simple things you can do at home can help change the course of an injury. On of the oldest treatments for musculoskeletal injury, and one any runner can do themselves, is massage. A runner on webcam just asked me whether or not it might help her plantar plate injury recover faster. The short answer is: Yes, massage can help as along as you do not injure the plantar plate ligament further in the process. How does massage really help when you have an injury? Yes, there are a couple of ways massage can help, as long as that massage does not make the injury worse. Today on the Doc On The Run Podcast, we’re talking about the good and bad, or the risk vs benefits of massage with a plantar plate sprain.…

Doc On The Run Podcast

1
#1 most important action when you roll your ankle running 4:44

41 weeks ago4:44

4:44

Runners who have rolled their ankle often have trouble figuring out when to get back to running. Mostly they seem to be worried about a subtle fracture or delayed ligament healing. If you think it is no big deal when you roll your ankle, you might be right, and you might be wrong. What is the number one most important action you can take when you roll your ankle running? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
How to calculate amount of rest between running injury and a race 7:30

41 weeks ago7:30

7:30

I know if you call me for a consultation, it is not because you want to talk to me because you watched a YouTube video or listened to a podcast, it is because you have a race and everybody else is telling you there is no way you can do it. Well, that may be my specialty, but today I am going to help you understand how you can figure this out yourself. It is not really that complicated, it is just that other doctors do not want to tell you how to do it, so I am going to try to explain it to you. How can you calculate the amount of rest you really need between your running injury and your race? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Compressive stress on plantar plate in runners 4:20

41 weeks ago4:20

4:20

I recently posted an episode that was talking about four different kinds of stress and strain that can be applied to the plantar plate ligament that might slow down the healing of that little bitty ligament in runners. I got a couple of questions about that and one of them was specifically about how to tell whether or not that is really a problem and one person wanted to know if they had a dropped metatarsal if that might be contributing to this issue of compressive stress. Today on the Doc On The Run Podcast, we're talking a little bit more about compressive stress on the plantar plate ligament in runners.…

Doc On The Run Podcast

1
Fat Pad Displacement vs. Atrophy in runners with plantar plate injury 5:51

42 weeks ago5:51

5:51

If you have a pain in the ball of the foot, underneath the base of the toes, that is right where your fat pad cushioning is located. There is a lot of misunderstanding about what fat pad atrophy really is, particularly when it is related to something like a plantar plate injury. Sometimes runners have true fat pad atrophy, but that is rare. More often runners have fat pad displacement that feels like atrophy. I think that fat pad displacement is more common than atrophy, and I am going to try to explain why. What is the difference between fat pad atrophy and fat pad displacement in runners? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Difference between plantar plate stress and strain 7:10

42 weeks ago7:10

7:10

I know I talk a lot about how necessary it is to reduce the stress and strain on the plantar plate ligament when you are a runner, especially if you are trying to get ready for a race while healing. It is really difficult to do, but not impossible. What are the four forms of stress and strain that can affect runners with plantar plate injuries? Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Single leg exercise benefits for injured runners 4:41

42 weeks ago4:41

4:41

I am going to make a statement and see if you agree with me. “Rest is bad, and exercise is good.” Do you agree? Almost every runner who calls me for a second opinion consultation has been injured, has been told they have to rest, and they have been told they cannot exercise in order to get better. Sometimes that is true. But 100% rest is rarely the case in runners. Unless you fell off the roof and broke your back and both, then you can probably use one of your legs to exercise and maintain some of your running fitness while your other foot that is injured is resting and recovering. Today on the Doc On The Run Podcast, we're talking about single leg exercise benefits for injured runners.…

Doc On The Run Podcast

1
Is stress on the plantar plate ligament bad for runners? 5:57

43 weeks ago5:57

5:57

I was just on a call with an injured runner who has been healing from a plantar plate sprain. If you have had one of these, you know they're problematic. The thing was that he asked me a question that really made me stop and think. What he asked was, “Is stress good or bad for the plantar plate ligament?” Well, that is what we're talking about today on the Doc On The Run Podcast.…

Doc On The Run Podcast

1
Fat Pad Atrophy: withering away or wearing away? 5:04

43 weeks ago5:04

5:04

Let me ask you to read 4 words and see how they land on you. Skinny, weak, atrophy, neglect. As a runner, would you want any of those words used to describe you? When the fat pad cushion between the bones and the skin under the heel or the ball of the foot gets thinner, doctors call it “atrophy.” But don’t take it as an insult. What really causes more atrophy of the fat pad cushion under the ball the foot in runners…inactivity, or too much activity? Well, that’s what we are talking about today on the Doc On the Run Podcast!…

Doc On The Run Podcast

1
Biggest mistake doctor can make in runner who was on crutches 3:42

43 weeks ago3:42

3:42

I was just giving a lecture at the 46th annual International Foot & Ankle foundation meeting at the Swedish Medical Center in Seattle. A foot surgeon in the audience asked a great question during the question-and-answer period following one of my lectures. Specifically, the lecture was medical imaging strategies to avert misdiagnosis in runners. She asked, “After a runner has been offloaded with crutches and placed in a fracture walking boot or a cast for immobilization, do you incorporate cross training, or only focus on running?” What is the one biggest mistake any doctor can make with a runner who has been on crutches? Well, that is what we’re talking about today on the Doc On The Run podcast.…

Doc On The Run Podcast

1 year ago5:07

5:07

I got an interesting question in the Injured Runners Aid Station, “Should I run without my custom orthotics to strengthen my feet?” It seems logical that stronger runners are less prone to injury. The premise behind this question is whether or not orthotics may cause weakness in your feet or legs. Never ignore your doctor's advice. But you have to ask your doctor the right questions about treatments like custom orthotics. You also have to understand when a little variety might help you become a stronger runner. Why variety makes you stronger as a runner? That's what we're talking about today on the Doc On The Run Podcast.…

Selamat datang ke Player FM

Player FM mengimbas laman-laman web bagi podcast berkualiti tinggi untuk anda nikmati sekarang. Ia merupakan aplikasi podcast terbaik dan berfungsi untuk Android, iPhone, dan web. Daftar untuk melaraskan langganan merentasi peranti.